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Treatment of sagittal synostosis: subtotal cranial vault remodelling with right-angled Z-osteotomies.
J Plast Reconstr Aesthet Surg. 2010 Nov; 63(11):1787-93.JP

Abstract

INTRODUCTIONS

Sagittal synostosis is the most common type of non-syndromic craniosynostosis with fusion of the sagittal suture. Various techniques have been introduced for the treatment of this irregular calvarial deformity. However, since these methods were not suitable for patients who were aged over 1 year when they were diagnosed with sagittal synostosis, a new approach should be undertaken.

PATIENTS AND METHODS

Between 2001 and 2005, five patients who were diagnosed with sagittal synostosis, after the age of 1 year, were treated with subtotal cranial vault remodelling. The procedure consisted of right-angled Z-osteotomies in the frontal and parieto-occipital bones, a shortening of the sagittal strut, and barrel-stave osteotomies in the temporal bone. They were undertaken to expand bitemporal diameter and to shorten anteroposterior diameter.

RESULTS

Cranial index increased from 68.2 to 77.8 immediately after surgery and to 78.4 post-surgery 36 months. Cranial morphologies were satisfactory during follow-up. The main advantage of the procedure is the easy control of fixation angle according to the surgeon's preference. There were no major complications including infections or relapses.

CONCLUSIONS

The treatment goal of sagittal synostosis is to eliminate factors that may impede brain development by assuring an adequate cranial cavity and to maintain an aesthetically acceptable cranial morphology. We obtained functionally and aesthetically favourable results by right-angled Z-osteotomies. Further, our one-staged procedure is safe, especially in patients over the age of 1 year.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, The Catholic University of Korea-College of Medicine, St. Mary's Hospital, 62 Yeouido-Dong, Yeoungdeungpo-Gu, Seoul 150-713, Republic of Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20060372

Citation

Moon, Suk Ho, et al. "Treatment of Sagittal Synostosis: Subtotal Cranial Vault Remodelling With Right-angled Z-osteotomies." Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, vol. 63, no. 11, 2010, pp. 1787-93.
Moon SH, Paik HW, Byeon JH. Treatment of sagittal synostosis: subtotal cranial vault remodelling with right-angled Z-osteotomies. J Plast Reconstr Aesthet Surg. 2010;63(11):1787-93.
Moon, S. H., Paik, H. W., & Byeon, J. H. (2010). Treatment of sagittal synostosis: subtotal cranial vault remodelling with right-angled Z-osteotomies. Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, 63(11), 1787-93. https://doi.org/10.1016/j.bjps.2009.11.006
Moon SH, Paik HW, Byeon JH. Treatment of Sagittal Synostosis: Subtotal Cranial Vault Remodelling With Right-angled Z-osteotomies. J Plast Reconstr Aesthet Surg. 2010;63(11):1787-93. PubMed PMID: 20060372.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of sagittal synostosis: subtotal cranial vault remodelling with right-angled Z-osteotomies. AU - Moon,Suk Ho, AU - Paik,Hye Won, AU - Byeon,Jun Hee, Y1 - 2010/01/08/ PY - 2009/05/29/received PY - 2009/11/05/revised PY - 2009/11/06/accepted PY - 2010/1/12/entrez PY - 2010/1/12/pubmed PY - 2010/11/5/medline SP - 1787 EP - 93 JF - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JO - J Plast Reconstr Aesthet Surg VL - 63 IS - 11 N2 - INTRODUCTIONS: Sagittal synostosis is the most common type of non-syndromic craniosynostosis with fusion of the sagittal suture. Various techniques have been introduced for the treatment of this irregular calvarial deformity. However, since these methods were not suitable for patients who were aged over 1 year when they were diagnosed with sagittal synostosis, a new approach should be undertaken. PATIENTS AND METHODS: Between 2001 and 2005, five patients who were diagnosed with sagittal synostosis, after the age of 1 year, were treated with subtotal cranial vault remodelling. The procedure consisted of right-angled Z-osteotomies in the frontal and parieto-occipital bones, a shortening of the sagittal strut, and barrel-stave osteotomies in the temporal bone. They were undertaken to expand bitemporal diameter and to shorten anteroposterior diameter. RESULTS: Cranial index increased from 68.2 to 77.8 immediately after surgery and to 78.4 post-surgery 36 months. Cranial morphologies were satisfactory during follow-up. The main advantage of the procedure is the easy control of fixation angle according to the surgeon's preference. There were no major complications including infections or relapses. CONCLUSIONS: The treatment goal of sagittal synostosis is to eliminate factors that may impede brain development by assuring an adequate cranial cavity and to maintain an aesthetically acceptable cranial morphology. We obtained functionally and aesthetically favourable results by right-angled Z-osteotomies. Further, our one-staged procedure is safe, especially in patients over the age of 1 year. SN - 1878-0539 UR - https://www.unboundmedicine.com/medline/citation/20060372/Treatment_of_sagittal_synostosis:_subtotal_cranial_vault_remodelling_with_right_angled_Z_osteotomies_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1748-6815(09)00781-5 DB - PRIME DP - Unbound Medicine ER -